COVID-19 Claiming

COVID19 POAC Claiming and eReferral Notifications

Claiming

COVID-19 assessment claiming is now available in Primary Options. Please select COVID-19 as the coding type, and enter the relevant clinical notes relating to the assessment types below:

If any practices already begun recording claims on the spreadsheet distributed last week, please enter these into Primary Options.

 

Invoiced amounts can be:

 

  • Patient triaged in person but case definition not met (Please enter patient’s usual co-payment amount)
    • This is for when a patient has presented at the clinic (i.e. Healthline referral) but the patient does not require a swab etc
    • No co-payment is charged to the patient
    • No clawback
  • Simple Assessment ($120)
    • No co-payment
    • No clawback
    • Patient meets the Ministry of Health’s Case Definition (or clinician deems necessary)
    • Patient has mild symptoms
    • Visual check and basic observations
    • Swab undertaken (eg in a carpark)
    • 1 or 2 people in PPE (funded separately)
    • Patient sent home and provided with recommendations (eg self-isolating)
    • Patient advised of test results
  • Full Assessment ($250)
    • No co-payment
    • No clawback
    • Patient meets the Ministry of Health’s Case Definition (or clinician deems necessary)
    • Patient has moderate or severe symptoms
    • Chest exam in the practice
    • Swab undertaken
    • Patient may require a follow-up check (not separately claimed for)
    • Appropriate practice decontamination undertaken
    • 1 or 2 people in PPE (funded separately)
    • Patient advised of test results

 

Notification

 

COVID-19 notification is now available as an eReferral within BPAC. Please begin to use this rather than the previous manual notification form. This form can be used for suspected cases, to supply follow up information requested from the Public Health unit and to supply confirmed notifications.  The form has been developed to meet all needs and therefore many fields are not mandatory.  However, please complete as much information as possible prior to sending the form. 

 

Swab Priority

If a GP marks the referral as urgent and indicates the patient is a frontline health worker (including ARC), a resident of a rest home or anyone else living in another institution like a hall of residence these swabs will be prioritised.